Bipolar Mood Disorder
7 important questions on Bipolar Mood Disorder
Overlapping features of BPD and BMD
Disproportionate
Suicidality
Risky behaviour
Impulsivity
Delusion
Bipolarity Characters in MDD (Compared to Pure MDD)
● More depressive episodes over lifetime.
● More comorbidity with:
○ Anxiety disorders
○ Substance use disorders
○ Impulse control disorders
● Higher risk of suicide attempts (though lower than bipolar II).
Diagnostic Criteria for BMD with mixed features and rapid cycling
ie : Present of Depressive symptoms during hypomanic/manic phase
and vice versa
Rapid Cycling
The presence of at least 4 major mood episode in one year
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Strategy to treat rapid cycling BMD
2. Evaluate possible precipitants - Manage accordingly
3. Optimize mood stabilizers, consider combine mood stabilizer (Lithium + Epilim, Lithium + Lamotrigine, Epilim + Carbamazepine)
4. Consider adjuncts
Aripiprazole (15-30mg/D)
Olanzapine (10-20mg/D)
Quetiapine (300-600mg /D)
Prognosis or BMD with Mixed features and Rapid Cycling
Mixed Features: Can lead to more severe mood instability and higher functional impairment compared to typical manic or depressive episodes.
Psychosocial intervention for BMD
1st line : Psychoeducation
2nd line : CBT and Family Focus Therapy
3rd line : IPSRT
IPSRT in Bipolar Mood DIsorder
It operates on the theory that instability is fundamental to the illness and that disruptions in daily routines lead to biological rhythm disturbances that trigger mood episodes
The question on the page originate from the summary of the following study material:
- A unique study and practice tool
- Never study anything twice again
- Get the grades you hope for
- 100% sure, 100% understanding
